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喘炎是什么意思? 在24个月以下的儿童中喘和支气管炎的诊断变异性
Patrick S Walsh1, Wendi-Jo Wendt1, Matthew J Lipshaw2,3
1Department of Pediatrics, Section of Pediatric Emergency Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Hospital pediatrics
|December 26, 2023
概括
在幼儿中,喘诊断随着年龄的增长而增加,与支气管炎不同. 这项研究强调了年龄和其他影响这些呼吸道诊断在两岁以下儿童的因素.
科学领域:
- 儿童呼吸道疾病 儿童呼吸道疾病
- 儿童喘和支气管炎的流行病学
- 在儿科的临床诊断.
背景情况:
- 支气管炎和喘在幼儿中存在类似的现象,但有不同的治疗方法.
- 准确的诊断对于婴儿和幼儿急性呼吸道疾病的适当管理至关重要.
- 了解24个月以下儿童的诊断模式对于优化护理至关重要.
研究的目的:
- 评估年龄和其他因素对诊断支气管炎与24个月以下儿童的喘的影响.
- 分析不同医疗机构之间诊断方法的差异.
- 为了确定年龄较大的婴儿和幼儿的非支气管炎诊断的预测因素.
主要方法:
- 对儿科健康信息系统数据库 (2017-2021) 的回顾性横截面分析.
- 包括被诊断患有支气管炎,喘,喘息或支气管的2岁以下儿童.
- 混合效应模型用于评估与12-23个月龄的儿童非支气管炎诊断相关的因素.
主要成果:
- 支气管炎占3个月以下婴儿中98%的遭遇.
- 喘诊断随着年龄的增长而增加,占23个月喘患者的44%.
- 在12-23个月大的儿童中,增加非支气管炎诊断几率的因素包括年龄较大,男性性别,黑人种族,以前的接触和阿尔布特罗尔使用.
结论:
- 非支气管炎的诊断和使用支气管扩展剂/类固醇治疗喘息的情况随着年龄的增长在0-23个月的儿童中增加.
- 在诊断模式中存在显著的机构差异.
- 为了更好的急性护理治疗,需要改善支气管炎和喘表型的定义,特别是在12-23个月的儿童中.
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